Individual provider Active NPI

Terence A Miller, OPTOMETRIST

  • Optometrist
  • Exeter, CA
National Provider Identifier
1508933102
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7283TPG Issued in CA
Practice address
400 E Pine St
Exeter, CA 93221-1844
Phone
(559) 592-3121
Fax
(559) 592-3766
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7283TPG CA Primary

Addresses

Primary practice location

400 E Pine St
Exeter, CA 93221-1844

Mailing address

400 E Pine St
Exeter, CA 93221-1844
Phone (559) 592-3121

Other identifiers 2

IdentifierTypeStateIssuer
1669658167OtherCAGROUP NPI
4643714MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090604000401 CA Practitioner - Optometry 3072663509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miller and Ransberger OdsGroup PAC ID 6103976634, 2 clinicians

Practice addresses (Care Compare)

400 E Pine St
Exeter, CA 93221-1844
Phone (559) 592-3121

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7283TPGCAMDOptometrist
7283CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Miller & Ransberger Ods Optometrist CurrentSince Feb 22, 2009 Accepting new patients

Locations

400 E Pine St
Exeter, CA 93221
Phone (559) 592-3121

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1508933102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E PINE ST",
            "city": "EXETER",
            "state": "CA",
            "postal_code": "932211844",
            "telephone_number": "559-592-3121",
            "fax_number": "559-592-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E PINE ST",
            "city": "EXETER",
            "state": "CA",
            "postal_code": "932211844",
            "telephone_number": "559-592-3121",
            "fax_number": "559-592-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TERENCE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7283TPG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1669658167",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4643714",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, CA

Sources for this page

Verify at the official NPI Registry.